Individual
AMY D GLEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
114 LOCUST ST, SWEETWATER, TX 79556-4552
(800) 852-2193
Mailing address
409 RUNNELS ST, BIG SPRING, TX 79720-2529
(432) 264-2650
(432) 268-9897
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
108600
TX
Other
Enumeration date
09/01/2006
Last updated
07/09/2007
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